Rheumatoid Arthritis Health Feed

Ma’am could you please make a chart for a patient with rheumatoid arthritis having urethral stricture surgery?

Dr.Julie Mercy J David 94% (39207ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Ma’am could you please make a chart for a patient with rheumatoid arthritis having urethral stricture surgery?
We are sorry we don't have knowledge about it but if you want we can give you suggestions about rheumatoid arthritis protocols. Multiple joint pains / early morning painit is called as rheumatic arthritis. Treatment goals •to protect the joint from further damages. •provide pin relief. •prevent deformity and disabilities. •increase functional capacity. •improve flexibility and strength. •encourage regular exercise. •improve general fitness. Physiotherapy modalities - hot/cold applications- electrical stimulation- hydrotherapy and spa therapy rehabilitation treatment technique - rest and splinting - compression gloves - assistive devices and adaptive equipment - massage therapy - therapeutic exercise - patient education.
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Hello, my mom is 58 years undergoing methotrexate 20 mg for rheumatoid arthritis. Her blood report shows anisocytosis. Hb 10.34 rbc count 3.90 pcv 35 mchc 31.3 rdw 18.7 totl wbc count 4160 absolute neutrophil 1830 monocyte 13 eosinopbills 9 pdw 19.4 vitamin b12 is 265.6 vitamin d 12.18 tsh 3.58 uric acid 2.3 bilirubin total 0.13 creatinine 0.44 bun 7.3 hba1c 6.4 is this something serious. I don't read good things about anisocytosis. Kindly advise.

Dr.Rahul Rai 91% (4347ratings)
MSPT (Master of Physical Therapy), Bachelor of physiotherapy
Physiotherapist, Gorakhpur
Hello,
my mom is 58 years undergoing methotrexate 20 mg for rheumatoid arthritis.
Her blood report shows anisocytosis...
Anisocytosis is happen due to methotrexate side effct. Use folic acid tablet once in one week. Counslt to physio for pain relife. Send her medcine name in private chat. Thnks.
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Rheumatoid arthritis, on medicine methotrexate 15 mg (weekly) ,folic acid and other dmard, feeling nausea next day of methotrexate 15 mg but no side effects if take methotrexate 7.5 mg on two continuous days in week, their no side effects, is this way ok?

Dr.Sonia Sharma 87% (33ratings)
Physiotherapist, Bharatpur
Rheumatoid arthritis, on medicine methotrexate 15 mg (weekly) ,folic acid and other dmard,
feeling nausea next day of...
Namaste! rumetoid artritis case hot and cold frugmentation and countinusly 30 times repetations and griiper excerciser and leg excerciser and back isomatric excercise 2 0 times thank you.
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I am patient of ra. Can I drink milk after 1 hour of taking methotrexate? It is safe or not?

Dr.Rahul (Pt) 92% (554ratings)
BPTh/BPT
Physiotherapist, Agra
I am patient of ra. Can I drink milk after 1 hour of taking methotrexate? It is safe or not?
Methotrexate is immuno suppressive drug and have very severe side effects in longer term also, kindly choose physiotherapyfor longer term to manage pain due to rehumatoid arthritis. Thank you.
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I am suffering rheumatoid arthritis in both elbows since 10 years. I want permanent relieve. I have a little baby. I' m unable to take him with my elbows.

Dr.Julie Mercy J David 94% (39207ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am suffering rheumatoid arthritis in both elbows since 10 years. I want permanent relieve. I have a little baby. I'...
Treatment goals •to protect the joint from further damages. •provide pin relief. •prevent deformity and disabilities. •increase functional capacity. •improve flexibility and strength. •encourage regular exercise. •improve general fitness. Physiotherapy modalities - hot/cold applications- electrical stimulation- hydrotherapy and spa therapy rehabilitation treatment technique - rest and splinting - compression gloves - assistive devices and adaptive equipment - massage therapy - therapeutic exercise - patient education assistive devices and adaptive equipment occupational therapy improves functional ability in patients with ra. Occupational therapy interventions such as assistive devices and adaptive equipments have beneficial effects on joint protection and energy conservation in arthritic patients.Assistive devices are used in order to reduce functional deficits, to diminish pain, and to keep patients' independence and self-efficiency. Loading over the hip joint may be reduced by 50% by holding a cane. In fact, most of these instruments are originally designed for patients with neurologic deficits; therefore, certain adaptations may be needed for them to be used in patients with arthritis. Elevated toilet seats, widened gripping handles, arrangements related with bathrooms, etc. Might all facilitate the daily life. The procedures needed to increase compliance of the patient with the environment and to increase functional independence are mainly determined by the occupational therapist. Massage therapy that improves flexibility, enhances a feeling of connection with other treatment modalities, improves general well being, and can help to diminish swelling of inflamed joints. Massage is found to be effective on depression, anxiety, mood, and pain. Therapeutic exercise every joint should be moved in the rom at least once per day in order to prevent contracture. In the case of acutely inflamed joints, isometric exercises provide adequate muscle tone without exacerbation of clinical disease activity. Moderate contractures should be held for 6 seconds and repeated 5–10 times each day. Dynamic exercise therapy in improving joint mobility, muscle strength, aerobic capacity and daily functioning in patients with rheumatoid arthritis (ra). Finally, in chronic stage with inactive arthritis, conditioning exercises such as swimming, walking, and cycling with adequate resting periods are recommended. They increase muscle endurance and aerobic capacity and improve functions of the patient in general, and they also make the patient feel better. Patient education in patients with ra, sociopsychological factors affecting the disease process such as poor social relations, disturbance of communication with the environment, and unhappiness and depression at work are commonly encountered. The treatment of rheumatic diseases should provide education and information to their patients about their condition and the various physical therapy and rehabilitative options that are available to improve their quality of life. Passive treatments for rheumatoid arthritis •cold therapy reduces circulation, which ultimately decreases swelling. For example, a cold compress may be placed on the painful area. •cold therapy in acute phase •dosage 10-20mints/1-2 times a day. •heat therapy eases muscle tension and gets blood to flow more quickly to the painful area. For example, a moist, warm cloth may be used to promote circulation. •heat therapy in chronic phase •dosage 20-30mints/1-2 times a day. •hydrotherapy involves reducing your ra-related pain and other symptoms with water. With hydrotherapy, you will be submerged in warm water to relieve your symptoms. •massage can help reduce muscle tension and promote good circulation. It's also a fantastic way to help you manage stress (especially important for people with rheumatoid arthritis). •transcutaneous electrical nerve stimulation (tens) works by blocking pain signals from getting to your spinal cord. It also helps decrease muscle spasms. •tens short term pain relief (6 to 18 hrs) •ultrasound creates warmth using sound waves, whichenchanes circulation and decreases joint pain, inflammation, and stiffness. Exercise for acute phase: •preformed exercise at least once a day. •general assisted movement through normal range (joint mobilisation). •isometric-“static movements” helps to maintain muscle tone without increasing inflammation. Exercise for the chronic phase: •can progress the above exercise to include use of light resistance. •postural/core stability exercises. •swimming/walking/cycling to maintain cardiovascular fitness. •gentle stretch for areas that become tight, such as knees &calves. Regular exercises: •maintaing muscle strength is important for joint stability & preventing injury. •muscles can become weak following reduced activity. •pain signals from yours nerves and swelling can both inhibits muscles. •muscle length can be affected by prolonged positions immobilization and tightness can limit daily activities. Alternative therapies: •thi chi. •musical therapy. •yoga therapy. •relaxation techniques. •pilates. Active treatments for rheumatoid arthritis •flexibility and strengthening exercises improve your range of motion and help you build muscle strength. Yoga and pilates are flexibility and strengthening exercises. •low-impact aerobic exercise is gentle but effective at helping you manage rheumatoid arthritis symptoms. Light walking is an example of this type of exercise. Your physical therapist will let you know how often to do these exercises. For example, you may need to do a few specific exercises 3 times a day, or your physical therapist may recommend a routine that incorporates 30 minutes of low-impact aerobic exercise a day and 30 minutes of strengthening exercises every other day. If your pain is more in the proximal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will helpknee cap will also help to prevent the damaged cartilagesif your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain.
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Rheumatoid arthritis can be cured or not with ayurveda with hi alan products please suggest.

Dr.Sonia Sharma 87% (33ratings)
Physiotherapist, Bharatpur
Rheumatoid arthritis can be cured or not with ayurveda with hi alan products please suggest.
Namaste! katuchi root, bhaag leves use with water cycling pully shoulder wheeler and isometric excercise 20 times repitation and 10 second holding get well soon thank you.
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Hello doctor my mom age is 50 years old she has past history of rheumatoid arthritis and ra factor positive since past 3 months she is under pain and few weeks later the knee started burning she says. Felt like it's burning during walking standing and exercise as well pain is unbearable kindly please say me what should I do i'm tensed she has arthritis since past 6 years.

Dr.Suryam Goduguchinta 92% (970ratings)
B.P.T, M.P.T(Orthopedics)
Physiotherapist, Tirupati
Hello doctor my mom age is 50 years old she has past history of rheumatoid arthritis and ra factor positive since pas...
Respected lybrate user....! for RA .... please consult and continue " physical therapy treatment......and burning type of pain in the knee joint during walking, standing, ex's,..... " soft tissue tear ...???!!!! please consult orthopaedic doctor and take treatment and suggestions for your mother's problem with preventive measures also.
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I am suffering from ra taking treatment from specs since 2010 as prescribe taking folitrax 12.5 mg folvite 5 mg now on right knee lot of pain advise.

Dr.Sheikh Irfan Bashir 89% (50ratings)
MBBS, DNB orthopaedics, MCH , PGD, ATLS
Orthopedic Doctor, Srinagar
I am suffering from ra taking treatment from specs since 2010 as prescribe taking folitrax 12.5 mg folvite 5 mg now o...
Seems presently you have a cute excarebation of ra. You might need a short course of nsaids but keep on continuing the medicines you are taking. Better to consult an orthopaedicians who will see your knee. And decide whether nsaids will suffice or you need to increase the dosage of dmards you are taking.
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